Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey A Pniewski, PA

Individual provider Medical Physician Assistant · NPI 1770710998

Stacey A Pniewski, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2009, 17 years ago. Practices with Age Management of West Michigan PC, a 23-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone: (616) 808-2695
Fax: (616) 808-2697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005529 (MI)

Record details

NPI number1770710998
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2009
Last updated in NPPESDecember 11, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Age Management Of West Michigan Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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